Same here - anout ten a year. Nice if we could have our "technician" cardiologists do them for us (after all our "technician" radiologists do the roentgenograms etc for us) but I would settle for a radiographer. A report is usuall;y adequate for primary care assessment for uregency of referral and/or initiating/managing treatment ourselves. Jon Wilcox Auckland ---------- > From: Mark Joyce <[log in to unmask]> > In Canada we have "open-access" and would order them for evalution of > significant murmurs, suspected valvular disease, and evalution of some > heart failure cases. I order about 10 per year.